Headaches without major complications in California
What 9 hospitals in California charged and were paid for a Medicare hospital stay for headaches without major complications (DRG 103), from 2024 Medicare claims.
Average charge
$98,865
Hospital list price billed
Average payment
$14,050
Medicare + patient + other payers
Medicare paid
$9,160
Average per stay
State rank
#15 of 16
1 = lowest average payment
Hospitals in California billed an average of $98,865 for headaches without major complications, about 7.0 times the average total payment of $14,050. That payment is 36% above the U.S. average of $10,322.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $14,050Billed $98,865
About 14¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in California:
California hospitals: headaches without major complications
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Cedars-Sinai Medical CenterLos Angeles | 21 | $129,927 | $11,210 | $8,831 |
| Grossmont HospitalLa Mesa | 12 | $51,107 | $9,073 | $7,577 |
| Community Regional Medical CenterFresno | 12 | $66,905 | $9,125 | $7,494 |
| Sutter Roseville Medical CenterRoseville | 12 | $84,603 | $8,282 | $7,152 |
| Stanford HospitalPalo Alto | 12 | $205,143 | $35,349 | $9,578 |
| UCSF Medical CenterSan Francisco | 12 | $72,704 | $15,992 | $12,366 |
| Riverside Community HospitalRiverside | 11 | $146,898 | $11,294 | $9,720 |
| Hollywood Community Hospital of HollywoodLos Angeles | 11 | $43,599 | $9,149 | $7,665 |
| UCLA Medical CenterLos Angeles | 11 | $61,917 | $18,866 | $12,501 |
Lowest and highest payments in California
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Sutter Roseville Medical CenterRoseville, CA | $8,282 |
|---|---|
| Grossmont HospitalLa Mesa, CA | $9,073 |
| Community Regional Medical CenterFresno, CA | $9,125 |
| Hollywood Community Hospital of HollywoodLos Angeles, CA | $9,149 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $11,210 |
Highest
| Stanford HospitalPalo Alto, CA | $35,349 |
|---|---|
| UCLA Medical CenterLos Angeles, CA | $18,866 |
| UCSF Medical CenterSan Francisco, CA | $15,992 |
| Riverside Community HospitalRiverside, CA | $11,294 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $11,210 |
Headaches without major complications in other states
Questions
How much does headaches without major complications cost in California?
In 2024 Medicare data, a hospital stay for headaches without major complications (DRG 103) at 9 hospitals in California was billed at $98,865 on average, while the average total payment was $14,050, of which Medicare paid $9,160. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in California, average charges were 7.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.